Individual
ROCHELLE MILBRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1891 STATION PKWY NW, ANDOVER, MN 55304-4259
(763) 755-4275
Mailing address
4651 3RD ST NE, FRIDLEY, MN 55421-2126
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401357
MN DEPARTMENT OF EDUCATION
MN
Enumeration date
09/22/2011
Last updated
09/22/2011
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